Apparently the GYN was expecting the cramping/bleeding to lessen after the first 10-day protocol with the medroxyprogesterone. It did not, the cramping has continued, off and on.

She has been doing the 800mg of iburprofen 3X daily, plus vicodine when the cramping is worse.

The GYN office notified us that the hospital's Nurse-Managers [who now regulate health-care] have approved for her to have a Laparoscopic procedure to do a hysterectomy on the 24th. We go in this week to discuss what all the GYN will be allowed to remove.

All by laparoscopy. To remove both ovaries and the uterus. They are hoping the surgery will last 3-1/2 hours. The GYN does not expect to be able to remove the fibrous mass in the uterus using laparoscopy alone. They want to do some other thing to get it to 'flow' out through the cervix.

Keeping in mind that when she gave birth, they induced labor for two days and were never able to force the cervix to dilate. We [my wife and I] seriously doubt that they will be able to get her cervix to open now to allow the fibrous mass and uterus to flow out.

So if they can not; then they will be forced to cut her open and do a more traditional surgery to remove her uterus. They say at this point there is no reason to remove the cervix. So they will likely leave it in place. If they do resort to the regular surgery after attempting with laparoscopy, then we are to expect an overnight stay in hospital.

I dropped her off at the hospital, she has been insisting that I come home and wait here for news from the nurses.